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Arthroscopic Anterior Talofibular Ligament Repair with Use of a 2-Portal Technique
- Source :
- JBJS essential surgical techniques. 9(4)
- Publication Year :
- 2020
-
Abstract
- Ankle sprains are common musculoskeletal injuries, with approximately 27,000 occurring every day in the U.S. alone. The anterior talofibular ligament (ATFL) is the most commonly injured ligament. Although most acute lateral ankle sprains can be treated conservatively, up to 20% of these injuries result in chronic lateral ankle instability and may require surgical stabilization. Recently, an arthroscopic lateral ankle ligament repair technique has become increasingly popular. This minimally invasive procedure is expected to reduce postoperative pain and promote faster recovery. The current article presents an ATFL repair using a 2-portal, non-distraction arthroscopic technique. Chronic lateral ankle instability refractory to physical therapy for 3 to 6 months is the main indication for surgical treatment, and sufficient quality of ligament tissue remnant is required for arthroscopic repair. Compared with an open procedure, equivalent clinical results and earlier recovery following arthroscopic ATFL repair have been reported. The major steps of the procedure, demonstrated in this video article, are (1) placement of portals for the arthroscopic procedure, (2) suture anchor insertion into the distal aspect of the fibula, (3) needle insertion into the ATFL remnant, (4) a lasso-loop stitch using a suture relay technique, (5) reattachment of the ATFL remnant, and (6) postoperative protocol. Complications are rare, and earlier return to daily activities compared with a standard open technique can be achieved.
- Subjects :
- Fibrous joint
030222 orthopedics
medicine.medical_specialty
business.industry
Anterior talofibular ligament
030229 sport sciences
Arthroscopic procedure
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Ligament repair
Ligament
Medicine
Orthopedics and Sports Medicine
Needle insertion
Fibula
Ankle
business
Key Procedures
Subjects
Details
- ISSN :
- 21602204
- Volume :
- 9
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- JBJS essential surgical techniques
- Accession number :
- edsair.doi.dedup.....d430ffe247d76c8af749df468b3d5976